6213 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6213
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Claire C. Fraser
• N.
OWNER of property located at Cleverdale Road and Route L
�, 9 Street,Road or Ave.
Move Cabin and n
in the Town of Queensbury,To Construct or place a Convert to Office
at the above location in accordance to application together with plot plans and other information hereto filed and
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
N
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1. OWNER'S Address is Star Route hi
Glens Falls, New York •
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( ) Steel ( ) •
7. PLANS and Specifications 0
Move existing cabin and convert to
No. office. Building 16 'x31 ' , per
plot plan and application submitted.
8. Proposed Use
Real Estate Office
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$ 6. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 19 80 O O
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.) i (D
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Dated at the Town of Queensbury this 12th Day of December 19 79 $1/.
SIGNED BY for the Town of Queensbury o
Building and Zoning Inspecto7(5 IEh
h
0
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• TOW N OF QUEENSBURY . . (Space inside block to be filled in by
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WARREN COUNTY. NEW YORK Building Inspector) ,
• • 1 Application No.
Application for I c r,i,it Issued - 19. .
• BUILDING AND. ZONING'PERMIT - 1,,•rn,it Expires. 1g. •
•
7.,,i5i„i uistriet
'\'al ut• ()I 11't,rk%
THREE (3) Copies of a PLOT PLAN, Drawn to scale \1i1n„""c41 htltc,i,.�i�
' 'showing the actual dimensions of the lot to be built
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upon, The exact size, and location on the lot of +he
building to be erected or altered MUST BE= SUB-
MITTED WITH THIS APPLICATION. . - • .
I
f U - / ///C j 2 /0/77 TOWN OP QUEENSBUts.
• DATE IA PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK "cot_o . A
ANSWER ALL OF THE FOLLOWING. DEC 1 1 '1979 .
The undersigned hereby applies for a permit. to do the following.wool& -" •• A.M.
which will be done in accordance with the description, plans' and specifiP.M.
7IgI�i1U�11'12�1121.314� ..
cations,"and such special conditions as may .be indicated' on the:permit. -�
The owner of this property is:G. ������ � �� �.� •
4.4//dam C• i Ae2/-J•�. 2 �74,1 •'��(1•%7C ,
(NAVE)" (P.O.ADDRESS)
r. The person responsible for •supervision of the.work insofar as the B,uil;du g,:Ccide and the Zoning.Ordinance apply is:.
. (NAME) • • (P.O ADDRESS)',
� j/if/_/� •
- Address: , - -
Name of BuilderrN�
Name of Plumber " ' ' " Address . y
Name of Mason °tJO ` ' '. 'Address
Lot Number Unit Estimated value of proposed work s .-04. . 00 . .
Name of Village
Name of Street '��'V7 . L 'Side of:street: north 0, east 0, south• 0. west 0
Nearest Cross Street
-mil/=Veil 6/le-L:`%? Distance from this -ross street 1't•
Property is north 0,south ❑,east IT),west 0 from Cross Street•.
If on Corner,.which corner;northeast g, northwest ❑, southeast 0. southwest -
. (Designate by marking with an"X' in the-correct space.),_J ---_---- -=--f _—
NATURE OF PROPOSED WORK' OCCUPANCY
❑ Main Building
Construction of a new building. • One family dwelling El. ❑ Addition to a building. Two-family dwelling ❑
❑ 'Alteration to,a building. • . . , . . . .-family apartment house ❑
❑ Demolition of a building. Store building ❑
-car attached gars e ❑
• ' Other: . . . . . .CP �/
Accessory Building• ❑
One-car.detached.garage . ❑
• O Ye' Two-car detached garagelig •
• \ Other work. Describe: ❑
6 7/eti .— el/� 44/ --- Private chicken house ❑
• Private storage building
3 i ' Aryv, -P ---b's i . Other: •
ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building,or a change of occupancy.
Indicate on the plot plan street names,the location and .
size of the property, the location,-size and setbacks of.pro-
posed buildings,and the location of all existing buildings.
. NORTH Show proposed building(s) in dotted line and existing
• lluildingts).in solid line.
. size of'property ft. x ft.,
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Size and use of existing buildings,if any •
,~„ t
Size of ro sed building l(P ft.x �® ft.
� m P P°
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I-Ieight'(from grade to ridge) ft. -
Front:yard . . . .
ft.
•
Side yards ' ft. and _ ft.
. Rear, yard
ft.
SOUTH If oft corner,setback from side street
ft.. ..
Note: All distances are net; as measured from street side
line to'nearest part of building.;
(OVER)
7-73—M
• (cont'd.) •
BUILDING SPECIFICATIONS., .
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Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? If so, for what)
Material,of foundation walls Thickness'
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof •
Size,wood studs "x ",spacing "o.c., length • ft.
Size, floor beams, 1st floor " x
", spacing..., "o.c., span ft.
Size, floor beams, 2nd floor
„ a ", spacing "o.c., span ft.
Size, ceiling beams "x ", spacing "o.c., span ft.
Side, roof rafters or beams
x ", spacing "o.c.,span • . : ft.
Exterior finish ' With what material?
Finish of interior walls
If garage is to be attached, of what material is wall between garage and main building to be constructed?
• Is there to be an opening between garage and building?
Kind of heating system. Oil burner or coal?
Will a flue-lined chimney be provided? . Depth of chitiiney foundation below grade
Height of chimney above roof
Will there be•a fireplace? . Depth of fireplace.hearth
Will a toilet be installed?
Will a kitchen sink be installed and connected to water supply?
Water supply (publicsupply pump)- �.. . .:
water su or I , um
Distance of cesspool from any private well feet
Will draizlage system.be-provided with required traps,cleanouts,and vents? : . . .,..
AFFIDAVIT ;• •
Town of Queensbury
County of Warren
State of New York
I swear that to th•M l of my know,Iedge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.:. lets statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed,work shall be complied with,whether specified or not,
and that such work is authorized by the owner. ! {/^
Sworn to before me this Signature '` - • .: `` -vt �
OWNER.OWNER'S AGENT.ARCHITECT.CONTRACTOR
day of..k�.P.�v s v. o-e/\ 191.1
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
• A permit must be obtained before beginning work.
ANSWER ALL of the following:
1. Gross floor area • 41,747 s;�c
2 . Type of heat C&,42b,6
3 . Is the building mechanically cooled? 4./0
4. Percentage of area of windows and doors �r ' Aigyi /6 /6
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling•,and, floors
exposed to ambient conditions
2 . Floor .over heated spaces YES �T,O
a. Are foundation walls insulated? YES NO
1. If YES what .is the R value?
3. Slab on grade YES NO
a. If YES , what is--the value of insulation around
perimeter of floor:? .
4. Is basement heated? • YES " NCO
a. 41 value of insulation �.
5. Type of insulation '
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
2-. R value of exterior walls // I' Y :-her f�� __
3 . R value of glazed area /Z— 1 !�
4 . R value of doors
5. R value of floors over heated spaces
6. R value of slab edge insulation - unheated slab
7. R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade)
10. Type of insulation ,5der'9v6.„33 1
C. Controls laOc�
1. Thermostat maximum heat setting_ a - erlevSJ16T
D. Duct Systems
1. Is. duct system -installed in unheated spaces? YES NO
-a. If YES, R value of duct installation /I/�
b. R value of duct in other areas
E. Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2. R, value of pipe insulation ,4J,
F. Service Water Heating
1. , Performance efficiency .41/4'
2. Temperature control setting maximum
G. For Swimming Pool Only
1. Maximum heating 4//1
T e l e p h o ne.__N.o_._
(applicant ' s signature)
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